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Evolution of ST-Elevation Acute Myocardial Infarction Prevalence by Gender Assessed Age Pyramid Analysis—The Piramyd Study
- Source :
- Journal of Clinical Medicine, Volume 7, Issue 12, Journal of Clinical Medicine, Vol 7, Iss 12, p 509 (2018)
- Publication Year :
- 2018
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2018.
-
Abstract
- Introduction: Recent studies reported a decrease in the incidence of acute myocardial infarction. This favorable evolution does not extend to young women. The interaction between gender, risk factors and myocardial infarction incidence remains controversial. Objective: To compare the evolution of the age pyramid of patients with ST-elevation myocardial infarction (STEMI) according to gender. Methods: Data from patients with STEMI managed in pre-hospital settings prospectively collected in the greater Paris area. Evolution of patient demographics and risk factors was investigated. Results: 28,249 patients with STEMI were included in the registry between 2002 and 2014, 21,883 (77%) males and 6,366 (23%) females. The sex ratio did not significantly vary over the study period (p = 0.4). Median patient age was 60.1 years (51.1&ndash<br />73.0) and was significantly different between males and females, respectively 57.9 (50.0&ndash<br />68.3) vs. 72.9 years (58.3&ndash<br />82.2) (p = 0.0004). The median age of males significantly (p = 0.0044) increased from 57.6 (50.1&ndash<br />70.0) in 2002 to 58.1 years (50.5&ndash<br />67.8) in 2014. The median age of females significantly (p = 0.0006) decreased from 73.7 (57.9&ndash<br />81.8) to 69.6 years (57.0&ndash<br />82.4). The median gap between the age of men and women significantly (p = 0.0002) decreased, from 16.1 to 11.5 years. Prevalence of risk factors was unchanged or decreased except for hypertension which significantly increased in males. The rate of STEMI without reported risk factors increased in both males and females. Conclusion: The age of STEMI onset significantly decreased in females, whereas it significantly increased in males. The prevalence of risk factors decreased in males, whereas no significant variation was found in females.
- Subjects :
- medicine.medical_specialty
Patient demographics
lcsh:Medicine
030204 cardiovascular system & hematology
Article
03 medical and health sciences
Population pyramid
0302 clinical medicine
Patient age
Internal medicine
medicine
gender
030212 general & internal medicine
Myocardial infarction
cardiovascular diseases
10. No inequality
business.industry
Incidence (epidemiology)
ST elevation
lcsh:R
General Medicine
prehospital
medicine.disease
ST-elevation myocardial infarction (STEMI)
3. Good health
age
business
Sex ratio
age pyramid
Subjects
Details
- Language :
- English
- ISSN :
- 20770383
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine
- Accession number :
- edsair.doi.dedup.....b84071ef9d3660441194e668faec53a5
- Full Text :
- https://doi.org/10.3390/jcm7120509